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Mental Health and Wellbeing Act 2022, Section 104 MWA 132A Application for ECT voluntary adult without capacity to conventional Patient Identifier FAMILY CAREGIVER NAMESMHWA132ADATE OF BIRTH Mental
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Get the mhwa-132a-application-ect-voluntary-adult-without-capacity-to-consent form
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Start by filling out the personal information section at the top of the form
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Provide details about the individual without capacity to consent
04
Fill out the section related to the capacity assessment
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Individuals who are seeking to apply for voluntary electroconvulsive therapy (ECT) on behalf of an adult who lacks the capacity to consent
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mhwa-132a-application-ect-voluntary-adult-without-capacity-to-consent front1 is a form used to apply for voluntary services for adults who are unable to provide consent due to lack of capacity.
The form must be filed by legal guardians, family members, or authorized representatives of adults who are deemed unable to consent.
To fill out the form, you should provide relevant personal details of the adult in question, information about the legal representative, and details of the services being applied for.
The purpose of the form is to ensure that adults without the capacity to consent receive necessary services and support in a manner that safeguards their rights and welfare.
The form requires personal details of the adult, contact information of the guardian or representative, and descriptions of the services being requested.
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